J11 - MA-58_Ship_Survey_Report.pdf

DATE SURVEY STARTED

OPERATOR

U.S.Department of Transportation

Maritime Administration

SHIP SURVEY REPORT

SHIP DATA

DATE SURVEY COMPLETED

PURPOSE OF SURVEY

OWNER

NAME OF SHIP

SURVEYORS ATTENDING (Name, Title, Representing)

SURVEY PORT SHIP OPERATED BETWEEN

OFFICIAL NUMBER

AT

TYPE OF SHIP (MA Symbol) GROSS TONS

DECK

COMPLEMENT

ENGINE

NET TONS

MONTH AND YEAR BUILT

STEWARDS

DWT

BUILT BY

PROPULSION MACHINERY (H.P., Type, Mfg.)

REDUCTION GEAR (Type, Mfg.)

BOILERS (No., Type, Mfg.)

GENERATORS (No., Type, Mfg., Rating)

GENERATOR DRIVE (Type, Mfg., Rating)

CARGO BOOMS (No., Capacity)

CARGO WINCHES (No., Type, Mfg.)

NUMBER OF CARGO HOLDS ____; HATCH COVERS (Type, Mfg.)

CARGO OIL TANKS (No., Location, Type)

CARGO OIL PUMPS (No., Type, Mfg., Location)

PROPELLER (No., Size, Type, Material)CARGO REEFER MACHINERY (No., Type, Mfg., Rating)

CARGO REEFER SPACE (Location, Cu. Ft.) MACHINERY CONSOLE ON BRIDGE YES

YES

YES

NO

NO

NO

STERN THRUSTER

BOW THRUSTER

SURVEY DATA

DATE LAST PREVIOUS MARAD SURVEY AND PURPOSE PORT SHIP CLASSED WITH

DATE AND NO. LAST SPECIAL CLASS SURVEY NEXT DUE

NEXT DUE

NEXT DUE

DATE LAST ANNUAL CLASS SURVEY

DATE LAST REEFER MACH. SURVEY

DATE LAST U.S.C.G. INSPECTION

DATE CURRENT DRY-DOCKING AND PORT

DATE LAST CLASS TAIL SHAFT SURVEY

DATE LAST LOAD LINE INSPECTION

DATE LAST PREVIOUS DRY-DOCKING

ALL PRESENTLY OUSTANDING CLASSIFICATION, U.S.P.H; F.C.C. & U.S.C.G. REQUIREMENTS (Indicate report numbers, dates, ports and other pertinent data)

NEXT DUE

NEXT DUE

NEXT DUE

NEXT DUEPORT

FORM MA-58 (4/89)

FORM MA-58 (4/89)

INSTRUCTIONS

LAST VOYAGE OPERATIONAL DATA (Operating Ship)

LIGHT LOADED

BOILERS DOMESTIC

AVERAGE DAILY FUEL CONSUMPTION (Bbls) AVERAGE DAILY LUBE OIL CONSUMPTION (Gals.)

AVERAGE DAILY SPEED

AVERAGE DAILY WATER CONSUMPTION

Signature

Title

Signature

Title

Signature

Title

All items listed in the ship Survey Report Index, which apply to the ship, are to be described in sufficient detail to furnish a comprehensive picture of existing conditions. Such descriptions are to be listed on separate sheets and identified by the Index number. Where applicable, note the means used determine the condition of an item, e.g., hammer testing, audio-gauging, drilling, megger testing, etc.

In addition to the description of the structural condition of an item, indicate the following data: manufacturer, number, type, capacity, prime mover, controls, location, and coatings. Identify all shell plating by number and letter start-ing from stem and flat keel respectively.

Place each item in one of the following categories and note by number (1), (2), (3), (4) or (5) in the right hand margin of the report:

(1) Satisfactory—Good to excellent; condition superior in all respects or better than average; no maintenance or repair required.

(2) Record—Fair to good; condition average, deficiencies of a minor nature not requiring correction.

(3) Deferred—Poor to fair; condition below average; deficiencies requiring immediate correction or those carrying a grace period granted by regulatory bodies for performance thereof.

(4) Unexamined—Conditions which could not be determined due to ship being afloat, cargo laden, etc.

(5) Unsighted Internally—Conditions which could not be determined due to equipment, tanks, etc., not opened for internal examination; exterior condition of such items to be commented on.

Signature-Marine Surveyor spaces

SHIP SURVEY REPORT INDEX

All required certificates on board and valid.

Note exceptions. 30 Lifeboats, life rafts and equipment (list major pieces)

31Are notices of government's equity, by reason of C/L or S/M posted? (if a mortgaged ship)

Hull exterior submerged (Use Form MA-57)

Rudder, rudder stock, pintles, gudgeons, stern frame

Zinc plates, or other cathodic protection system

Hull exterior above water

Weather decks—wood and steel (incl. deck coverings)

Interior decks and deck coverings 37

Lifeboat davits�

Hull fittings, chocks, bitts, fairleads, etc.

Life-saving equipment (list major pieces)

Navigating equipment (list major pieces)

Bridge control console and sub-system

Radio room equipment (list major pieces)

Steering gear and steering engine room

Anchor windlass; anchors, number; chain, amount� and chain locker38

10 39

Bulwarks

Bulkheads

Doors, watertight and operating gear; circular, hinged and fixed lights

Doors, weather tight, screen

Inner bottoms—feed water, oil and ballast, including internal piping and heating coils

Fore and aft peak tanks, settlers, sump and sludge tanks Including internal piping and heating coils

Water tanks—domestic

Capstans and mooring equipment

Winches and running rigging

Cranes

Elevators

Conveyors

Machinery foundations outside machinery spaces

Ventilation, heating and air conditioning system excluding machinery

Plumbing fixtures, soil lines and scuppers

Lighting fixtures and lights, interior and exterior

Interior communications and signal apparatus

Fire detection and extinguishing systems

A.B.C. Systems

Joiner work, interior doors and windows

Superstructure and houses—interior

Scuttles and manholes

Stairs, ladders, rails and gratings outside machinery

Ballast—location, type and amount

Tank tops throughout ship

Holds and deep tanks, including piping, gratings and ladders

Hold and tween deck ceilings and battens

Bilges, bilge wells, cofferdams, sounding pipes, vents, reach rods and valves, throughout ship

Hatches, coamings and side ports

Hatch covers and operating gear

Escape trunks

Superstructure and houses—exterior

Deck Department storerooms and paint lockers

Ventilator cowls, trucks and vents

Masts, booms and standing rigging 58

53 Portable furniture, fixtures and furnishings

Refrigerated cargo spaces—capacities-locations

Special installations and defense features (list major pieces)

Main engines, turbines (Use Form MA-55), diesel� engines (Use Form MA-59)

Reduction gears (Use Form MA-56)

Main and auxiliary boilers including waste heat boilers

SHIP SURVEY REPORT INDEX—Continued

Boiler mountings and fittings

Superheaters, economizers and fittings

Soot blowers and attachments

Uptakes, breechings and stacks

Forced-draft system

Fuel oil system-heaters, strainers and piping

Condensate and vacuum systems and related equipment

Feed System including heaters

Steam and exhaust lines including reducing valves and regulators

Lubricating system including tanks, coolers and strainers

Bilge, ballast, fire lines and S.W. service

Refrigeration piping, Insulation and sheathing

Liquid cargo systems and related equipment

Compressed air system and equipment

Sea valves and connections

Insulation-steam and exhaust lines

Evaporators, distillers

Pumps

Generators

Refrigeration machinery-cargo and ship's service

Air-conditioning and dehumidification machinery

Electrical wiring and insulation throughout ship

Switchboards

Gauges and instruments

Workshops and equipment (list major pieces)

Operating and recording apparatus

Central control console and sub systems In Engine Room

Thrust bearings86

69 97

Line shaft and bearings

Tail shaft and stern tube bearings

Propeller

Bow thruster/stern thrusters

Stabilizers

Shaft alley, stern gland

Gratings, ladders, mils & floor plates In machinery spaces

Engine Department storerooms and gear lockers

ABS machinery spares

Spare shaft, propeller and propeller blades

Special machinery installations or equipment

Galley and equipment

Dining rooms and equipment—ship's personnel

Quarters including equipment—ship's personnel

Public spaces

Hospital and equipment (list major pieces)

Refrigerated spaces—ship stores

Butcher shop and equipment

Steward's storerooms

Pantries and equipment

Dining room and equipment-passengers

Passengers' quarters, Including equipment

Condition of lavatories-crew and passenger

Laundry and equipment

Cleanliness and maintenance throughout ship

Central FW Cooling Systems

Cargo Ramps and Doors; stem, tween deck, internal, etc.